Набор скоро начнётся NCT07359274

Effects of Neurodynamic and Carpal Bone Mobilization in Mild-to-Moderate Carpal Tunnel Syndrome

Без фазы С лечением Carpal Tunnel Syndrome Splints

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Neurodynamic mobilization, Carpal bone mobilization, Splint.
Кому может быть актуально: Состояния в реестре: Carpal Tunnel Syndrome, Splints. Базовые параметры: 20 лет — 55 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Turkey (Türkiye)
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Clinical and Morphological Effects of Neurodynamic Mobilization and Carpal Bone Mobilization Techniques in Patients With Mild-to-Moderate Carpal Tunnel Syndrome

Обзор

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy caused by compression of the median nerve at the wrist. Conservative interventions such as splinting and manual therapy are frequently used in individuals with mild-to-moderate CTS. Neurodynamic mobilization and carpal bone mobilization aim to improve neural and soft tissue mobility; however, their comparative effects on clinical outcomes and median nerve morphology are not fully understood. This interventional, non-randomized clinical study aims to compare the clinical and ultrasonographic effects of neurodynamic mobilization plus splinting, carpal bone mobilization plus splinting, and splinting alone in patients with mild-to-moderate CTS. Ninety-three participants diagnosed with mild-to-moderate carpal tunnel syndrome based on electrodiagnostic criteria will be included. Participants will be allocated into three parallel groups without randomization. All participants will receive a neutral-position wrist splint as standard conservative care. Two intervention groups will additionally receive either neurodynamic mobilization exercises or carpal bone mobilization techniques administered by a physiotherapist for four weeks. Clinical outcomes and median nerve morphology will be evaluated at baseline and immediately after the intervention period. The primary outcome is the change in the Boston Carpal Tunnel Questionnaire score. Secondary outcomes include pain intensity, neuropathic pain, functional disability, muscle strength, pressure pain threshold, and ultrasonographic measurements of the median nerve.

Вмешательства

Другое Neurodynamic mobilization
Median nerve neurodynamic mobilization exercises performed 5 sessions per week for 4 weeks.
Другое Carpal bone mobilization
Manual carpal bone mobilization techniques applied 5 sessions per week for 4 weeks.
Другое Splint
Neutral-position wrist splint used during night-time for 4 weeks.

Первичные конечные точки

Boston Carpal Tunnel Questionnaire (BCTQ) Total Score [Срок оценки: Baseline to 4 weeks]

Вторичные конечные точки (7)

Visual Analog Scale (VAS) [Срок оценки: Baseline to 4 weeks]
Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) [Срок оценки: Baseline to 4 weeks]
Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) [Срок оценки: Baseline to 4 weeks]
Grip Strength [Срок оценки: Baseline to 4 weeks]
Pinch Strength [Срок оценки: Baseline to 4 weeks]
Pressure Pain Threshold [Срок оценки: Baseline to 4 weeks]
Median Nerve Cross-Sectional Area [Срок оценки: Baseline to 4 weeks]

Критерии участия

Критерии включения

Diagnosis of mild-to-moderate carpal tunnel syndrome confirmed by electrodiagnostic testing
CTS symptoms for at least 3 months
Ability to provide informed consent